<?php
/* @var $this EmbarazoController */
/* @var $model Embarazo */
/* @var $form CActiveForm */
?>

<div class="wide form">

<?php $form=$this->beginWidget('CActiveForm', array(
	'action'=>Yii::app()->createUrl($this->route),
	'method'=>'get',
)); ?>

	<div class="row">
		<?php echo $form->label($model,'id'); ?>
		<?php echo $form->textField($model,'id'); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'id_beneficiario'); ?>
		<?php echo $form->textField($model,'id_beneficiario'); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'id_prestacion'); ?>
		<?php echo $form->textField($model,'id_prestacion'); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'id_tipotrazadora'); ?>
		<?php echo $form->textField($model,'id_tipotrazadora'); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'fecha_control'); ?>
		<?php echo $form->textField($model,'fecha_control'); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'semanas_gestacion'); ?>
		<?php echo $form->textField($model,'semanas_gestacion',array('size'=>6,'maxlength'=>6)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'fum'); ?>
		<?php echo $form->textField($model,'fum'); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'fpp'); ?>
		<?php echo $form->textField($model,'fpp'); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'fpcp'); ?>
		<?php echo $form->textField($model,'fpcp'); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'peso'); ?>
		<?php echo $form->textField($model,'peso',array('size'=>7,'maxlength'=>7)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'ta_baja'); ?>
		<?php echo $form->textField($model,'ta_baja',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'ta_alta'); ?>
		<?php echo $form->textField($model,'ta_alta',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'antitetanica'); ?>
		<?php echo $form->textField($model,'antitetanica',array('size'=>1,'maxlength'=>1)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'vdrl'); ?>
		<?php echo $form->textField($model,'vdrl',array('size'=>1,'maxlength'=>1)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'es_control'); ?>
		<?php echo $form->textField($model,'es_control',array('size'=>1,'maxlength'=>1)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'fecha_carga'); ?>
		<?php echo $form->textField($model,'fecha_carga'); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'clave_beneficiario'); ?>
		<?php echo $form->textField($model,'clave_beneficiario'); ?>
	</div>

	<div class="row buttons">
		<?php echo CHtml::submitButton('Search'); ?>
	</div>

<?php $this->endWidget(); ?>

</div><!-- search-form -->